{"id":987,"date":"2025-06-24T07:56:48","date_gmt":"2025-06-24T07:56:48","guid":{"rendered":"https:\/\/studenthub.elsevier.com\/es\/?p=987"},"modified":"2025-08-08T12:40:59","modified_gmt":"2025-08-08T12:40:59","slug":"soporte-nutricional-neoplasia-esofago","status":"publish","type":"post","link":"https:\/\/studenthub.elsevier.com\/es\/calculo-dosis\/soporte-nutricional-neoplasia-esofago\/","title":{"rendered":"JMA es un var\u00f3n de 72 a\u00f1os diagnosticado de neoplasia de es\u00f3fago. Refiere disfagia severa y p\u00e9rdida involuntaria de peso (aproximadamente 10Kg en el \u00faltimo mes). El peso y la altura son de 50 kg y 1,7 m respectivamente. En la anal\u00edtica destacan: prote\u00ednas totales = 50 g\/l  y prealb\u00famina = 0,05 g\/l. Est\u00e1 prevista una intervenci\u00f3n quir\u00fargica (esofagectom\u00eda total) en 12 d\u00edas. Se intent\u00f3 colocar sonda nasog\u00e1strica para alimentaci\u00f3n, pero la obstrucci\u00f3n esof\u00e1gica impidi\u00f3 acceder al est\u00f3mago. \u00bfEstar\u00eda indicado alg\u00fan tipo de soporte nutricional? \u00bfCu\u00e1l?"},"content":{"rendered":"\n        <div class=\"simple-quiz\" id=\"sqt_1_2021_container\">\n            \n            <div class=\"quiz-options\">\n                                    <div class=\"quiz-option\">\n                        <input type=\"radio\" \n                               id=\"sqt_1_2021_option_1\" \n                               name=\"sqt_1_2021_options\" \n                               value=\"1\">\n                        <label for=\"sqt_1_2021_option_1\">\n                            \u00bbA.                        <\/label>\n                    <\/div>\n                                    <div class=\"quiz-option\">\n                        <input type=\"radio\" \n                               id=\"sqt_1_2021_option_2\" \n                               name=\"sqt_1_2021_options\" \n                               value=\"2\">\n                        <label for=\"sqt_1_2021_option_2\">\n                            \u00bbB.                        <\/label>\n                    <\/div>\n                                    <div class=\"quiz-option\">\n                        <input type=\"radio\" \n                               id=\"sqt_1_2021_option_3\" \n                               name=\"sqt_1_2021_options\" \n                               value=\"3\">\n                        <label for=\"sqt_1_2021_option_3\">\n                            \u00bbC.                        <\/label>\n                    <\/div>\n                                    <div class=\"quiz-option\">\n                        <input type=\"radio\" \n                               id=\"sqt_1_2021_option_4\" \n                               name=\"sqt_1_2021_options\" \n                               value=\"4\">\n                        <label for=\"sqt_1_2021_option_4\">\n                            \u00bbD.                        <\/label>\n                    <\/div>\n                                    <div class=\"quiz-option\">\n                        <input type=\"radio\" \n                               id=\"sqt_1_2021_option_5\" \n                               name=\"sqt_1_2021_options\" \n                               value=\"5\">\n                        <label for=\"sqt_1_2021_option_5\">\n                            \u00bbE.                        <\/label>\n                    <\/div>\n                            <\/div>\n            \n            <div class=\"quiz-toggle\">\n                <span class=\"quiz-cta\" \n                      role=\"button\" \n                      tabindex=\"0\" \n                      onclick=\"simpleQuizToggleResults('sqt_1_2021')\"\n                      onkeydown=\"if(event.key === 'Enter' || event.key === ' ') { simpleQuizToggleResults('sqt_1_2021'); event.preventDefault(); }\">\n                    Show\/Hide Answer                <\/span>\n                \n                <div id=\"sqt_1_2021_results\" class=\"quiz-results\" aria-live=\"polite\">\n                    \u00bbLa                <\/div>\n            <\/div>\n            \n        <\/div>\n        \/altura [m]2) est\u00e1 por debajo del valor normal, al igual que los valores de prote\u00ednas y prealb\u00famina. El paciente va a ser sometido a cirug\u00eda en los pr\u00f3ximos d\u00edas y ser\u00eda recomendable mejorar el estado nutricional antes de la intervenci\u00f3n. Todo ello nos indica que el paciente requiere soporte nutricional. Dada la disfagia severa, el paciente no puede cubrir sus requerimientos mediante dieta oral. \nLa primera opci\u00f3n que nos planteamos ser\u00eda nutrici\u00f3n enteral, pero no fue posible colocar una sonda nasog\u00e1strica. En este caso, en que existe obstrucci\u00f3n del tubo digestivo\ny malnutrici\u00f3n prequir\u00fargica, nos plantear\u00edamos nutrici\u00f3n parenteral. Ya que la intervenci\u00f3n est\u00e1 prevista en 12 d\u00edas, una nutrici\u00f3n parenteral total nos permitir\u00eda ajustar el aporte y mejorar el perfil nutricional m\u00e1s que una nutrici\u00f3n parenteral perif\u00e9rica.\u00bb\n]\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\/altura [m]2) est\u00e1 por debajo del valor normal, al igual que los valores de prote\u00ednas y prealb\u00famina. El paciente va a ser sometido a cirug\u00eda en los pr\u00f3ximos d\u00edas y ser\u00eda recomendable mejorar el estado nutricional antes de la intervenci\u00f3n. Todo ello nos indica que el paciente requiere soporte nutricional. Dada la disfagia severa, el [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"wp-custom-template-c-lculo-de-dosis-individual-entry","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57,59],"tags":[],"class_list":["post-987","post","type-post","status-publish","format-standard","hentry","category-calculo-dosis","category-calculo-de-dosis-nutricion-artificial"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Soporte nutricional en neoplasia de es\u00f3fago<\/title>\n<meta name=\"description\" content=\"\u00bfEs recomendable un soporte nutricional en un paciente con obstrucci\u00f3n esof\u00e1gica y p\u00e9rdida de peso? 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